Effectiveness of scapular mobilization to reduce shoulder pain among the patients with Spinal Cord Injury

Background: Patients with Spinal Cord Injury often experience debilitating shoulder pain. This study investigates the effectiveness of scapular mobilization as a potential intervention to alleviate this pain and enhance the quality of life for these individuals.Objectives: The objectives were to identify the effectiveness of scapular mobilization in reducing shoulder pain among patients with spinal cord injury. Methodology:Pretest and posttest designs were used to conduct this study. 16 participants were selected according to inclusion criteria. The 'VAS' and 'Goniometer' were used to assess the shoulder pain and joint range of motion (ROM). Analysis was done through SPSS v22. To analyze the pre-post test data, the Wilcoxon signed-rank test was used. Result: Among 16 participants, the mean age was 27.69 with a standard deviation of ±11.5, median 27, mode 18, maximum age 52, minimum age 13. Male participants were predominantly higher than female participants. Out of the 16 participants, 93.8% (n=15) were male, and 6.3% (n=1) were female. Among them, 50% (n=8) of the participants were caused to fall from a height, 37% (n=6) were caused by a road traffic accident, and 12.5% (n=2) were caused by heavy objects falling on them. The most significant neurological level was T12, with a percentage of 31.3%, while 25% were at L1, and 12.4% were at T7 and T11, respectively. The right-sided shoulder joint was affected in 43.75% of cases, the left-sided in 31.25%, and 25% were affected on both sides. In the statistical analysis, there was a significant improvement in shoulder pain reduction, shoulder flexion, and extension.Conclusion:Overall, this dissertation showed that scapular mobilization was more dominant than only conventional physiotherapy in reducing shoulder pain and improving shoulder movement

COMMON MUSCULOSKELETAL PROBLEMS ARISES AMONG WOMEN AFTER PARTURITION AT SELECTED AREA OF BANGLADESH

Background: Pregnancy increases the susceptibility to developing musculoskeletal diseases. Postpartum musculoskeletal issues are frequently observed after childbirth, causing significant discomfort and distress for women. Purpose:To identify the common musculoskeletal problems that arises among women after the event of parturition at a selected area of Bangladesh. Methods:A cross-sectional study of Dhaka hospital postpartum mothers with musculoskeletal complaints was conducted. Study sites were Enam Medical College and Super Medical Hospital. Convenience sampling yielded 112 eligible individuals. Ethics, hospital approval, and participant anonymity were crucial. Face-to-face interviews using questionnaires and VAS were used to collect data. We obtained informed consent from participants to ensure confidentiality and withdrawal. We followed WHO and Bangladesh Medical Research Council ethical guidelines to ensure research integrity. Results:The Bangladeshi postpartum women study revealed common musculoskeletal disorders and their relationships. The majority of participants, 23–27 (55%) with one or two children, reported low back pain (57.1%), pelvic girdle discomfort (67.9%), and urine incontinence (38.4%). Pelvic girdle pain, diastasis recti, and urine incontinence were linked to childbirth. greater kids mean greater pain. The OREBRO scale showed varying severity (mean score: 101.64 ± 12.56). Childbirth affected musculoskeletal complaints, as shown by OMPQ ratings and participant age. This study prepares for more interventions. Conclusion:The study proposes that these findings can serve as fundamental information for the development of management and assessment programs in the postpartum musculoskeletal population

Effectiveness of scapular mobilization to reduce shoulder pain among the patients with Spinal Cord Injury

<p><strong>Background: </strong>Patients with Spinal Cord Injury often experience debilitating shoulder pain. This study investigates the effectiveness of scapular mobilization as a potential intervention to alleviate this pain and enhance the quality of life for these individuals.<strong>Objectives:</strong> The objectives were to identify the effectiveness of scapular mobilization in reducing shoulder pain among patients with spinal cord injury. <strong>Methodology:</strong>Pretest and posttest designs were used to conduct this study. 16 participants were selected according to inclusion criteria. The 'VAS' and 'Goniometer' were used to assess the shoulder pain and joint range of motion (ROM). Analysis was done through SPSS v22. To analyze the pre-post test data, the Wilcoxon signed-rank test was used. <strong>Result:</strong> Among 16 participants, the mean age was 27.69 with a standard deviation of ±11.5, median 27, mode 18, maximum age 52, minimum age 13. Male participants were predominantly higher than female participants. Out of the 16 participants, 93.8% (n=15) were male, and 6.3% (n=1) were female. Among them, 50% (n=8) of the participants were caused to fall from a height, 37% (n=6) were caused by a road traffic accident, and 12.5% (n=2) were caused by heavy objects falling on them. The most significant neurological level was T12, with a percentage of 31.3%, while 25% were at L1, and 12.4% were at T7 and T11, respectively. The right-sided shoulder joint was affected in 43.75% of cases, the left-sided in 31.25%, and 25% were affected on both sides. In the statistical analysis, there was a significant improvement in shoulder pain reduction, shoulder flexion, and extension.<strong>Conclusion:</strong>Overall, this dissertation showed that scapular mobilization was more dominant than only conventional physiotherapy in reducing shoulder pain and improving shoulder movement.</p&gt

Cutaneous Malignancy due to Arsenicosis in Bangladesh: 12-Year Study in Tertiary Level Hospital

Bangladesh is grappling with the largest mass poisoning of a population in the world due to contamination of drinking water with naturally occurring inorganic arsenic. It is estimated that 75 million people of 59 (out of 64) districts are at risk of drinking contaminated water with arsenic above 50μg/L. Long term exposure to arsenic causes cancers, including skin, lung, and bladder. This is a randomized prospective study to see the prevalence of skin cancer from arsenic affected area of Bangladesh, as well as their variation by geographical area, age, gender, location on the body, and socioeconomic conditions, in outpatient department of plastic surgery unit of Bangabandhu Sheikh Mujib Medical University (BSMMU). A total of 960 patients with skin cancers comprised of 528 males and 432 females were selected for the study from January 2004 to December 2015. In this 12-year study, we found squamous cell carcinoma, basal cell carcinoma, melanoma, and Merkel cell carcinoma to be associated with the ingestion of arsenic contaminated ground water. This is a reflection of a small part of the total national scenario of devastating result of arsenic mediated cancer in terms of skin malignancy. This study will help the future researchers who are contemplating to work on arsenic induced health problem

Genomic analysis and in vivo efficacy of Pediococcus acidilactici as a potential probiotic to prevent hyperglycemia, hypercholesterolemia and gastrointestinal infections

Abstract Lactic acid bacteria are the well acknowledged probiotics that can cure a variety of diseases. In this study, we observed the in vivo potentials of Pediococcus to treat hyperglycemia, hypercholesterolemia and gastrointestinal infections. A total of 77 Lactobacillus were isolated from the milk of 10 cows and 10 goats, four of those strains inhibited both carbohydrates-hydrolyzing enzymes, α-glucosidase, and α-amylase. They all showed antagonistic effects on pathogenic E. coli and S. Typhimurium which were confirmed by performing pathogen challenge test and visualizing on Electron microscopy. 16S rRNA gene sequence identified that all four strains belong to Pediococcus genus which were further distinguished as Pediococcus acidilactici by pheS gene sequence. Whole genome sequence analysis revealed their non-pathogenic properties for human and the presence of probiotic genes responsible for stress resistance, immunomodulation, adhesion, metal and drug resistance. In vivo trial with diabetes-induced mice ascertained that all Pediococcus acidilactici had significant potentials to reduce elevated glucose and low-density lipoprotein level in blood. Interestingly, two out of four strains were significantly more effective (p < 0.0001 each) than metformin in reducing the blood glucose level. This in vivo study demonstrated that Pediococcus acidilactici might be a promising probiotic to prevent hyperglycemia, hypercholesterolemia and gastrointestinal infections